Risk Reduction for Urban Substance Using MSM
Steven P. Kurtz, Principal Investigator
Ron Stall (University of Pittsburgh), Co-Investigator
Hilary L. Surratt, Co-Investigator
Mance E. Buttram, Co-Investigator
Project Period: 2008-2014
Funding Source: National Institute on Drug Abuse
Funding Amount: $2.9 million
This study aims to test a new intervention based upon psychological empowerment theory that, in preliminary field tests, produced high levels of acceptability and participation, as well as large reductions in sexual risks and substance use, among a sample of high risk, substance-using, socially isolated men who have sex with men (MSM). The intervention being tested is based upon a theory of MSM health risk behaviors that posits that urban gay subcultures present risk environments that become problematic for a sizable minority of MSM who live in them. The risk factors include a lack of economic production, normative hyper-sexuality and substance use, homophobia, sexual competitiveness, and an emphasis on entertainment and escapism. Within this context, the specific aims of this study are: 1) To describe the nature and extent of substance use and sexual risk behaviors in a sample of 500 sexually active, substance-using, not-in-treatment MSM in two urban South Florida counties (Miami-Dade and Broward [Ft. Lauderdale]); 2) To identify the independent covariates of baseline substance abuse and sexual risks; 3) To evaluate, through random assignment of participants, the relative effectiveness of two intervention conditions in reducing sexual risks and substance use, as measured at 3-, 6-, and 12-month follow-up assessments: a) an innovative five-session risk reduction intervention derived from psychological empowerment theory and b) a single session resilience counseling condition.
- Arrest histories of high risk gay and bisexual men in Miami: unexpected additional evidence for syndemic theory
- Vulnerable Infected Populations and Street Markets for ARVs: Potential Implications for PrEP Rollout in the US
- Health and Social Problems Associated with Prescription Opioid Misuse Among a Diverse Sample of Substance-Using MSM
- HIV risk among substance-using men who have sex with men and women (MSMW): Findings from South Florida
- A Randomized Trial of a Behavioral Intervention for High Risk Substance-Using MSM
- Substance Use and Sexual Risk Mediated by Social Support Among Black Men
- Risk and Protective Factors Associated with Gay Neighborhood Residence
- Neighborhoods, Networks, and Migration: Approaches to understanding how urban environmental conditions affect syndemic adverse health outcomes among gay, bisexual and other men who have sex with men
- Resilience, Syndemic Factors, and Serosorting Behaviors Among HIV-Positive and HIV-Negative Substance-Using MSM
- HIV Preventions for Men Who Have Sex with Men
- Resilience Measures Predict 12-month Continuous Safe Sex Behaviors Among Highly Vulnerable MSM Following Intervention
- Health Risks and Mental Health Problems Associated With Prescription Opioid and Benzodiazepine Abusing Men
- The geography of risk factors and protective characteristics of HIV transmission and substance use among MSM in South Florida.
- Racial/ethnic differences in social environment and health among urban substance using MSM.
- Resilience-based interventions for highly vulnerable MSM.
- Results of a Randomized Intervention Trial to Reduce HIV Risk Behavior and Substance Use and Increase Social Support among Vulnerable African American/Black Men
- Health and Social Characteristics of Precription Opioid Abusing Men.
- Two Interventions to Reduce HIV Risk and Substance Use among Highly Vulnerable MSM